Individual
KAYLA TRIGG FUNDERBURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
619 19TH ST S STE P915, BIRMINGHAM, AL 35233-1900
(205) 975-0512
Mailing address
1403 LINDA VISTA DR, VESTAVIA, AL 35226-3552
(205) 515-0412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019049453
AL
363LA2100X
Acute Care Nurse Practitioner
1-144943
AL
Other
Enumeration date
01/27/2020
Last updated
05/20/2024
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